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During
the past few years, the field of diagnostic medical parasitology
has seen numerous changes including newly recognized parasites,
alternative diagnostic techniques required by regulatory
requirements, implementation of new immunoassay techniques
and an overall increase in awareness of parasitic infections.
Pathogens such as the microsporidia and Cyclospora cayetanensis
have moved from the category of "unusual organisms"
to becoming more widely recognized as causing important
human infections, particularly in the compromised patient.
Newer
diagnostic methods continue to be developed, with an emphasis
on procedures that are not based on microscopic recognition
of subtle organism morphologic details. As laboratories
reduce the number of personnel and cross-training and cross-coverage
become much more common, the number of laboratorians trained
to perform and interpret diagnostic parasitology procedures
is diminishing. As fewer trained individuals enter the field
of diagnostic microbiology, education and consultation for
the laboratorian will continue to grow in importance. It
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